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05D2089114 CLIA NUMBER - LAC/HARBOR-UCLA DERMATOLOGY LABORATORY ,

Laboratory Demographics

CLIA Number: 05D2089114

Facility Name: LAC/HARBOR-UCLA DERMATOLOGY LABORATORY ,

Facility Address:
1000 W CARSON ST BLDG N-24, MODULE C
TORRANCE, CA
ZIP 90502
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Facility Phone Number: 310 222-2114

Facility Type: Other - HOSPITAL CLINIC

Certificate Type: Accreditation
NPI Number: 1073955985

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 05D2089114
LAB Type Other - HOSPITAL CLINIC
Facility Name LAC/HARBOR-UCLA DERMATOLOGY LABORATORY ,
Street 1000 W CARSON ST BLDG N-24, MODULE C
City TORRANCE
State CA
ZIP 90502
Phone 310 222-2114
CertificateType 1
CertificateEffectiveDate 6/4/2023
CertificateExpirationDate 6/3/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024